Organization Active NPI

Dryer Chiropractic PC

  • Chiropractor
  • Poteau, OK
National Provider Identifier
1578789293
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3376 Issued in OK
Legal business name
DRYER CHIROPRACTIC PC
Practice address
2112 N Broadway St
Poteau, OK 74953-2501
Phone
(918) 649-0330
Fax
(918) 649-1290
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Craig Dryer, D.C.NPI 1437117702
Title
President
Phone
(918) 649-0330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3376 OK Primary

Addresses

Primary practice location

2112 N Broadway St
Poteau, OK 74953-2501

Mailing address

2112 N Broadway St
Poteau, OK 74953-2501
Phone (918) 649-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000141 OK Part B Supplier - Clinic/Group Practice 0941230957 Receives reassigned benefits from 1 practitioner
Practice locations: Poteau, OK

National Provider Directory

National Provider Directory

Locations

2112 N Broadway St
Poteau, OK 74953
Phone (918) 649-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1578789293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532501",
            "telephone_number": "918-649-0330",
            "fax_number": "918-649-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532501",
            "telephone_number": "918-649-0330",
            "fax_number": "918-649-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRYER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "DRYER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-649-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.